TU8.2 Percutaneous cholecystostomy for acute calculous cholecystitis an observational study from a single institute

Abstract Introduction Although percutaneous cholecystostomy (PC) is generally accepted as a bridge to definitive therapy for acute cholecystitis (AC), which remains cholecystectomy, some patients did not undergo cholecystectomy mostly due contraindications surgery. Here, we aimed audit our clinical practice from single institute. Methods 153 presented with AC and initially managed PC were included. The proportion of who subsequent LC their characteristics analysed. Results 27% (41/153) the study cohort underwent while remaining (n=112) receive any surgical intervention.22/122(20%) coexisting hepatobiliary malignancy. mean age (n=90) was 75±13 years median length drain insertion those 40 days. majority (57%) sever 8% had adjacent liver abscess. 55% develop further attacks after removal 25% deemed unfit rest (20%) either refused operation or died before LC. American Society Anaesthesiologists (ASA) score 3 IV in 9% (8/90). 15% (13/90) experienced post complications including blocked stent, pain cellulitis around tube. 60-day mortality rate 11% (10/90). Conclusion treated high risk could be consider treatment.